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0210 BARNSTABLE ROAD
T- - - `� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION pp Mar Parcel c A licatio p Health Division Date Issued C Wn Conservation Division Application Fee Planning Dept. Permit Fee 4 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Stre tAddress Village Owner 2Q� �JQ(/'1.1 6�� � Address ay /Vapowe O� Telephone C�'1 -7_ - QSPI Permit Request i n d Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other BUILn1�,. �Basement Finished Area (sq.ft.) Basement Unfi,rr��'�hed Area (sq ) Number of Baths: Full: existing new Hal: exis' 201s new T Number of Bedrooms: existing _new OwN O�e°�RNST ABLE Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas . ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION -` (BUILDER OR-HOMEOWNER) - Name i'i eh Telephone Number 7 Address / License# v Home Improvement Contractor#/ 7eKY/ Email6CC61-Ygo,:��(2 Worker's Compensation #I C56Q5n�o 1—)4 X_/ , ALL CONSTRUCTION DEBRIS ULTI G FROM THIS PROJECT WILL BE TAKEN TOM / v r SIGNATURE DATE �' FOR OFFICIAL USE ONLY AF�,PLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION`. r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ,4c Roy CERTIFICATE ��- TIFICATE OF LIABILITY INSURANCE DATE(MM1DDfyyM THIS CERTIFICATE IS ISSUED AS A 1/2015 MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFiRMATIVELY OR NEGATIVELY AMEND, WEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRES THIS CERTIFICATE CE INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCE,AND THE CERTIFICATE HOLDER IMPORTANT: if the Certlftcate holder I11 an ADDITIONAL INSURED,the pDllcy(!as)mast be endorsed, N—SUBROGATION IS WAIVED,subject to the terms and condition of the policy,oerbin policies may require an endorsement. A statement on this Certtileato does not confer lights to the certificate holder in lieu of such andoreement(s). PRODUCER Southeastern Insurance Agency, Inc. oN Lora Fitzta®rald 439 State Rd. (508)997-6061 IFAX' NI(500)990-2791 P.O. Box 79398 AD ,lfitra@eoutheasterniae.com - North Dartmouth MA 02747 MOSSLAFFOMMOCOVERASE I NAICq INSURED INSURERAArbella protection Insur n 141360 TUPPer Construction Co LLC SURER S AIOBton Insurance BrokezMae Inc I 546A Higgins Croirell Road INC: INSURER D: West Yarmouth MA 02673 DISURERE: • COVERAGES CERTIFICATE NUMBEP4015-2016-1s F: 1 UMBE THIS IS ED CERTIFY THAT THE POLICIES OF INSURANCE LISTER BELOti1f HAVE BEEN ISSUED TO THE INSUREDENAMIEaD4 NABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR I TYPE OF INSURANCE I i POLICY NUMBER I X I OommERCUiL OENEIRAL LJI j M LIMITS A � l �CUUMSMADE L O1 OCCUR I 'I EACH OCCURRENCE g 1,000,000 f ! 1596( 6 100,000 9520048208 11/1/2015 11/1/2016 MEOW(Anyone parson) S 5,000 GENI AGGREGATE UMITAPPUESPER: PERSONAL&ADVINJURY 5 1,000,000 X POLICY � LOC GENERAL AGGREGATE 6 2,000,000 OTHER: IPRODUCTS-COMPIOPAGO 5 2,000,000 AUTOMOBILE U ILITY $ ANY AUTO Eeeo119U $SINGL 1,000,000 A 5T�ED BODILY INJURY(Per person) $ � SCHEJ7ULEp AS 1020009389- '12/1/2015 12/1/2016 BODILY N,NRY(Pe+aa M) g $!HIREO AUTOS AUTOS ED PRn IntlD AGE $ UMBRELIALJAB OCCUR Un1n=W1adnftB1 aBmit $ 250,000 EXCESS EACH OCCURRENCE S CLAIMS h1ADE I AGGREGATE 0 IRE S 460005886814 . J $ COIIIPENSATION 11/1/2015 11/1/2024 5 AND EMPLOYERS'LIABILITY ST 0 tANY PROPRIETORIPARTNERMECUTIVE �YIN $ OFFICERIMENBEREXCIUDE09 I_ I NIA d E.L.EACH ACCIDENT II 1,000,000 (JrT�.dW in NH) 7FCC50o5593012Ga5AE.L.DISEASE-EA EMPLtr/E S 1,000,000 g dtrs berulder 110/3/2018 :10/3/2016 DESCRI ION OF OPERATIONS below r E.L.DISEASE-POLICY LnutR 8 1 000 000 DESORIP710N OF OPERATIONS LOCATION$/VEHICLES(ACORD i01,Addklonm Remarks Sdmdul EW be m adk6d H more space is ro*dmcI CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR03ED POLICIES Be CANCELLED BEFORE For informational purposes only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELMERED IN Tupper Construction on Co.,LLC ACCORDANCE MTN THE POLICY PROVISIONS. 546A Biggins Crowell Road W Yarmouth, Mh 02673 AMOR®REPRESENTATM Lora FitzGerald/MEM 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS025vm mii The Commonwealth'o,jMassschuseae DepaPiMent of Industrial Accidents - WO ce Of Investigations Investigations 1 Congress Street,Sufte 00 Boston,MA 02114-2017 www.mass gov/din Workers'Compensation Insurance Affidavit:Builders/ContractorslElectriCiAns/Plumbers A /lean Lniarmation Please Print Leffibiv Name lBusine&'Warganizationt%dividual): Tupper Construction Co LLC Address: 546A,,,Higgins Crowell Rd Ci /State/Z : West Yarmouth MA 02673 Phone M .508-778-0111 Are you an employer?Check the aPP+oPrlate box: 1. 1 am a employer with 10 4. I am a T�of Project(require): ❑ general contractor and I employees(foil and/or part-time). have hired the sub-contractors d- ❑New construction 2.❑ I am a sole proprietor or partner- listed'on the attached sheet. ?. []Remodeling: ship and have no employees These sub-contractors have working for me in any capacity..ca aci 8. ❑Demolition employees and have workers" [No workers'comp:insurance comp. insurance./ 9,. ❑Building addition ' required.] S. a We are a corporation and its 10.❑Electrical repairs or additions 3:❑ I am a homeowner doing all work officers have exercised their Plumbing ing repairs or additions myself. [No workers' camp: right of exemption per MGL insurance required.] t c. 152, §1(4).and we have no 12:[]Roof repairs i employees. [No workers' 13.❑Other comp insurance required.] °Any apglicant that checks box#1 must also fill out the section below shovviag f6eirworkers'compen......palicy nfarmaiion. +Hameowneis who submit this affidavit indicating they am doing alI work and then}lire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. tf the sub-contractors have employees,they mud Provide then workers'comp,policy number. I am an employer drat is prot=fdrng wrrrkers'cotnpemd iov iusterance for myemployees. Below>~s the poticy job.site informadon. Insurance Company Name: AElC Policy#or Self-ins.Lic.#: WCC5005593012015A Expiration.Date: 10(3/16 Job Site Address: 210 Barnstable Rd City►/StateMp: Hyannis MA 02601 Attach a copy of the workers'compensation policy_declaration page(showiirrg the.poliey number and Failure to secure coverage as expiration date). required under Section 25A of MGL e; 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the,violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification; 1 do hereby certify a paths and penaMes of perjury drat the informadon provided above k true and correct Si tore: 8/9/16' Phone#: 508-77 -011 Wicial use only. Do not write in this , area,to be completed by clay or town®fflciax City or Town: Permit/License# . Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityl'i'own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: UPpIR ■CONSTpLiCT70N CD»•�•� 5MIA H1991"CnWi Rd Welt Yam Muth,.MA OZ073 Phone MB-77&0111 Fax 5S-77MI0 RegieWon#178434 'License#069068 Date: 77 Attn:'Building Department i her eby authorize Tupper Construction Co., LLC to pull the permits necessary to co lete the project described on the attached permit application fain. mp F Thank,You, OwnersO Signatures Print Owners'Names Strreet Address: � s r. /` A f 'I . mie Office of Consumer Affairs and ' • 1Jczc� , : Business Regulation 10 Park Plaza- Suite,5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration irk - . a Regisiraflon 178434 Type: LLC ExPiratiTUPPER CONSTRUCTION.CO, LLC. °"' 4�18J2©18. TN a192s4 RICHARD TUPPER _._. 546 A HIGGINS WALL RD CRO W. YARMOUTH, MA 02673 Update Address and return-card.Mark rearon far dmgp. sca 1 a 2ou 4srn C Address Renewal Employment,,F* fast hard //.^l�,r:wrlNarlt 0i8ee of Cenaumer Afleies&Buftessoa License or rt&&Sdon valid for individual use oeiy HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 478434 Tom: Of[lce of Consumer Affaln and Business Regulation # ExplMdon; 4116Qo18 I.L.0 lop -Suite 5L7o TUPPER CONSTRUCTION CU,LLC. ' 1 9 S RICHARD TUPPER SaA H16GINS CROWt_LL RD W.YARMOUTH.MA=73 Uodertserego witha__.. Not id ut signature BUILDING PERF ORMANCE INSTITUTE,INC 147 Hermes Road,Sulte 210 Malin,NY 12020 (877)-274.1274. www.bpl.org Richard Tupper �u..n 1 yyn 4 - • .' .kY.k. ., p..y«.........�-vibes.. IE WM SW rM DsaarM AND WMM"j Ui,esttiCEed-lhlgdiqp ' Massachusetts•Departmetet of Public Safety ��Y�8roup which � _ Board of Bctilding Regulations.and Sfar9dapds contain less than 35,000 cubic fxt("1m)of �., Cunatructiun Supenlmsr enclosed space. License: S 546 S Tgpper;. ` to w Y WA F a- Failure na possess a current edition of the Maumhuselts ! She Building Code is emm for my n of thts lkense. v,,,� �dr . :t�u`6 Expiration For DP*s llemsit►g Inoro adan Ngib www,MhMG0v/0ps Commissioner 12131E016 -H�_(cm�.ses.sWtema, c�p�AxgiSessaa'rshp;pP3�raxy.ssouifEW=�S'SJeS7p+.5rfJifkf t'AE-1 ,O.4 f' *"'"'= � usEntity - ia>�es sE nti tV S m rnaa - 'a - - ZQ Nu mber 657 ZO Summary ��•_''for: 20 ry 2 BARNST -ABLE ROAD, - AQ - LLC a - - - - " The exactna e of the D masttc Limite d Liability itY Company(LLC )= 202 BA RNSTABL E ROAD, D LL - ' - i= - - - _ - En ist YtYPe' Oom est llm I Company tLCced8hY =<r_ Identification Nu l;s:v .....: mbe��• - - r. 306578 - _ IQ ID Nu-:-:;:�• mbar:0 0092- 9772 ire _ ;•t' J• ` j Data of organization <�x•' -_ a Massachusetts.. 07-27- 0 Last date - te- certain, - The i ooatfo n or ad 4.. ....... d -�%sl.: ►ass where `ra. e records - r a ...........:.-?fie>:�.;•>�:5:;�:i;:�;:. .............. � ;�' re maintained.t� APO box Is not avataddress): � id tot.aGon or _.Y Address: 80 NEPONS -ET AVE.A or t - `own 5ta t ZI- City t cads ..e, Country. P , D -ntry: ORCH E SrER ?ti _ MA USA 'r +v - �::�t:� The name e and address of the i._ •u:t Name: ST EVEN Address: 61 MAYNARD RD. ..t...._..- L1 Otown, - - r" State ZI tYtw - P5U�. Q B tfa a 1776 U SA The T nam e and b alines s ad dress Of each Mana ger; �i :; MANAGER LAN NG UYEN 54 SHOR E 01906 - -.SAUGU S M - A USA �.. 'ta >�`± :>i1+:'?:?:Sty�;:::.�=:•,•�z.:.�E MANAGE R .__..p E ' PETER E 80 NEP- ON3 ET AVE.605T0 N MA 02k2_ 2U MANAGER SANO L£R M aYNARo RD.s___.. - - UDB� - U-- RY MA 017 7a _ usa MAN AGER TRAN 83 F£ - tLSWA YE AST MA LOEN ::. .i^ MA 02 k48 Us - r:2? = s' addition to the .._: managor(s),thenameandbust nose address of the parsons authorized to y: xt documents to ( ) a -:?: be filed with the C ra •-`�.+�• bons Drvfaio - :.s' �S IN 01 Vill The name and business addauthorized s M =; tell of the'arson s P ( ) to exeeo `l;� to atknowled d - :: ' i, , g sliver,and record ao+ ',•- recordabl e Instrument purporting to affect an interest in 'irebl propert 1:;:,.' ..y. �u:7�+ ........_ .�_. ..fi, s._cc. PnMr-nn�; we on u.. ,_• '-=^'?'Y�_ ..::^. - �,'��'++ �.." . uL V� :j�YF MA It•I1•l911OA :�' - �'�`��}•. � s�� 1 G-'at'� ,.'n...iv ��y_ �'�'K• •'t' ...c�s;•'L' �. c-r47-y?�-,-t'yr^ .'^1- �c"p -'��_,'�_'��'-.��q',..ia�'�t^sv'' :,�,. „ & .. .... .. :rtxs-'�vy?n'�eM��'r,�'n��. .;� „c- ..+.ate_ c •+,5,' ' - ' - •' ..,: �.: "'fie•' ti. r_ : . Town of Barnstable 'RECEIPT r • N�W9T MAW 200 Main Street, Hyannis MA 02601 508-862-4038 16;q.s Application for Building Permit Application No: TB-16-2384 Date Recieved: 8/18/2016 Job Location: 210 BARNSTABLE ROAD,HYANNIS Permit For: Building-Addition/Alteration-Commercial Contractor's Name: State Lic. No: Address: Applicant Phone: (508)778-0111 (Home)Owner's Name: 202 BARNSTABLE ROAD LLC Phone: (617)265-0515 (Home)Owner's Address: 80 NEPONSET AVE, DORCHESTER,NIA 02122 Work Description: Strip 2 layers asphalt&reroof,remove rubber roofing and density board&install rubber roofing. Total Value Of Work To Be Performed: $18,980.00 Structure Size: 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Richard Tupper 8/18/2016 (508)778-0111 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $18,980.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $272.72 Total Permit Fee Paid: $0.00 x THIS IS NOT A PERMIT l rayment Confirmation UWAR tdE�. �� rcr Lam. Y 367 Main St rem;Hyannis, 0_76t)l e 50 24 ie v vr%r � H;;'x 3 F'a.i.nl O':7ti'y71p(Sy�• admin@tupperco.com(Contractor) Li's V 1 e w P e r mi ,Tt- Innovative permit management You're all set! Your payment was successfully submitted to the Town of Barnstable MA Payment Summary for TIC-16-2384 at 21.0 BARNSTABLE ROAD, HYANNIS Paypai Transaction 0:3S834162HE4745705 Placed on:8/18/2016 Payment Method:Master Card:XXXX-)OOCX-XXxX-3713 Payment Total:$272.72 What's Next? You will receive a payment confirmation email in your inbox shortly. You will be notified via email once.your application has been reviewed and issued by the appropriate departments. You can check the status of your application and attach additional documentation bymi clicking on My Projects section on your dashboard page. You can also print a copy of your application by clicking here. https:/A ww.viewmypermitct.orgISecured/PaymentConfirmation.aspx?b*d=67&amount=$272.72&pfee=$272.72&TranslD=3S834162HE4745705&CC4DIGNO=... 1/1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map. zr>3Parcel ® PP ation V Health Division Date Issuedl(_?q'-/`'f Conservation Division Application Fee lsn Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Strut Address �t® zTt:� C��L Village Owner Address Telephone n it est 'r , 6 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floorq om Count < = ZE Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other t Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing w e /coal store: Lges ❑ No 11 � Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: existing❑ n size_ css Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: LW r-- -- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 4 Name77R Tel hon Number Address r o L�ic� s l Home Improvement Contractor# Email Worker's Compensation # ce S Y-Pul -,z)).o ALL CONSTRU I RIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ( � / FOR OFFICIAL USE ONLY APPLICATION# r • DATE ISSUED MAP/PARCEL NO. I e' ADDRESS VILLAGE y OWNER - r r DATE OF INSPECTION: FOUNDATION FRAME " INSULATION FIREPLACE ' s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL C 1 FINAL BUILDING DATE CLOSED OUT Ir ASSO.CIATION PLAN NO. 11/06/14 03:34PH Boston Wood Floor Inc 6172656336 p.01 r � TUPPER 4 t _,,.�R :3 CONSTRue-roori CO.r.,.r. 79B Mid-Tech Drive.West Yarmoulh,MA 02673 Phone 508-778-0111 Fax 508-778-5010 Registration#121845 License#069058 PRIME CONSTRUCTION CONTRACT Date: 10/20/2014 Name: Powderhorn Outfitters, LLC c/o Peter Le 202 Barnstable Road Hyannis, MA 02601 Job Address: 210 Barnstable Road Mailing Address: 202 Barnstable Rd. City/State: Hyannis, MA 02601 CitylState: Hyannis, MA 02601 Estimator: Rick Tupper Home Phone: Contact Number 508-280-6280 Other Phone: Contractor will furnish all labor and materials to construct and complete the following project in a good workmanlike manner: Repair plywood where damaged due to leaking roof(3 sheets approximately 100 Square feet) Install 4 X 8 sheets of 11/2" polyiso insulboard using 3"round plates and 2 W fasteners over entire 17 foot by 75 foot section of roof. Install EDPM roofing over Insulation per manufacturer's specifications. Includes new white drip edge, new plumbing boots where required. Included in price we will remove wet and moldy insulation and replace with new under plywood we are Replacing Repair sheetrock In one area where roof leaked through and touch up paint. Includes new white drip edge, new plumbing boots where required. Builder to acquire all permits All construction debris to be rernoved from site. All workmanship warranted for 10 years In accordance with the following documents: Owners Authorization Owner agrees to pay Contractor the total sum of: $ 11,250.00 Payments to be made as follows: Contractor's signature _ Date__ .-.,..,...�.._._ Date Owner's signature �, f-a— --- Page 1 of 2 11/12/2014 Print Page "Pont this page''` _ • Owner Information - Map/Block/Lot: 328 / 011/- Use Code: 3250 *. Owner Map/Block/Lot 328 / 011/ GISMAPS 202 BARNSTABLE ROAD . PropertyAddress Owner Name as of LLC :. 1/1/13 80 NEPONSET AVE 210 BARNSTABLE ROAD DORCHESTER, MA. 02122 Co-Owner Name C/O PETER LE Village:-Hyannis" Town Sewer At.Address: Yes:. GIS Zoning.Value:_HG: . • Assessed Values 2014 - Map/Block/Lot: 328/ 011/-Use Code: 3250. 2014 Appraised Value. 1014 Assessed Value Past Comparisons $'266,700 $.266,700 Year Total.Ass ssed. Building Value: : .- Value Extra Features: $ 0 $ 0 2013 - $ 466.900 1. Outbuildings: 25 600= $ 25 600 2012.-.$ 422,700 2011 = $ 422,700 Land Valuer $ 174,600. $ 174,600 2010 = $ 4509300 2009 $ 486;900. . 2008 - $.486,90.0 2014 Totals $ 466,900 1466,900 2007 -$ 486,900: Tax-Information 2014 -Map/Block/Lot: 328 /011/- Use Code: 3250 Taxes Hyannis.FD.Tax-. $. . (Commercial) 1,652.83 Community Preservation Act Tax $ 11.5.14 ; Town Tax.(Commercial) - Fiscal Year 2014 TAX RATES HERE 3,837.92 . 5,605.89 http://wWw.tOwnofbarnstable.us/Assessing/printl4.asp?ap=0&searchparce1=328011 1/4 11/12/2014 Print Page i Sales History -Map/Block/Lot: 328 / 011/- Use Code: 3250 History; Owner: Sale Date Book/Page: Sale Price: 202 BARNSTABLE ROAD LLC 2006-10-10. C181292 ` $1500000 SANDLER, DAVID &TAMES J TRS 1989-09-15 6896/190 $1400000 TOWN PAINT SUPPLYCO INC 1978-06-22 : 2733/340 $0 Photos 328/011/- Use Code: 3250 - �1»�•E, '-'aft . - . . - . - - - . . . Sketches - Map/Block/Lot: 328./ O11/-Use Code:325.0 00 AsBuilt Card N/A_ Constructions Details -:Map/Block/Lot: 328/ 011/- Use Code: 3250 Building Details Land Building.value- $266,700 Bedrooms . 00 USE CODE ' 3250 . . Replacement Cost $3601824 Bathrooms Lot Size Acres O Full (Acres) 0.43 http://www.townofbarnstable.us/Assessing/printl4.asp?ap=0&searchparcel=328011 214 f 11/12/2014 Print Page Model Commercial Total Rooms Appraised $ 174,600 Value Style Store Heat Fuel Oil Assessed Value $ 174,600 Grade Average Heat Type Hot Air Year Built 1965 AC Type None Effective Interior depreciation 30 Floors Concr Finished Stories 1 Interior Walls Drywall Living Area sq/ft 4,156 Exterior Walls Concr/Cinder Gross Area sq/ft 4,156 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp Outbuildings & Extra Features -Map/Block/Lot: 328/011/- Use Code: 3250 Code Description Units/SQ ft Appraised Value Assessed Value SGN2 DOUBLE SIDED 25 $ 800 $ 800 PAV 1 PAVING- 500 1 ASPHALT 0 $ 24,800 $ 24,800 • Sketch Legend I� Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area (Finished)SOL Solarium BMT Basement Area FUS Second Story Living Area SPE Pool Enclosure (Unfinished) (Finished) BRN Barn GAR Garage TQS Three Quarters Story (Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area (Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) _ PRG Pergola UUS Full Upper 2nd Story FOP Open or Screened in Porch PRT Portico (Unfinished) WDK Wood Deck PTO Patio http://www.townofbarnstable.us/Assessing/pri ntl4.asp?ap=o&searchparcel=328011 �/Q The Commonwealth of Mussachusefts Department of Industrial Accidents Office of f Investigations 600 Washington Street Boston,MA 02111. ww .mass.gov%dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Anulicant Information Please Print Legibi Nat11e(Busirie"ss/Organiz ion/I dividual)z Tupper Cons ruc-t ion: :Co. , LLC Address: 546A Higgins Crowed( Rd City/State/Zip,• West Yarmouth, MA 02673 Phone-#; 508..778-0111 Are you an employer?Cheek the appropriate<box: Type of project(required): ].,Q I am a>:employer with 4. Ell I am a:general contractor and I b. []New construction employees(full and/or part-time).* have hired the sub-contractors 1 7. 2..M jam asole proprietor:or partner- listed on the,:attached sheet I. � Remodeling � ship-and have no employees These sub-contractors ha ve 8. 'El.Demolition working forme in any capacity, workers' comp.insurance g. Building addition [No workers' comp...insurancC.. 5. We are a corporation and tsr required.] offcers.have exercised their, 10.(Q Electrical repairs or additions 3.Q I am a homeowner doing all;work right:of exemption per.MGL 1 L Plumbing repairs or additions In self o workers'-co c. 152, 1 4 and we hav rio y [N p § O er 12.0 Roof repairs: insurance requtred.]. employees. [No workers' { 13. OtherWeathenzatiorl comp.insurance required.]' *Any applicant;that checks box#i must also fill out the-section;below showing then workers'compensation;policy information: Homeowners who submit this affdavit.indicating they are doing all work and then hire outside contractors must submit a new Widavit'indicattng such: :Contractors that check this Ibox must attached'an additional sheet showing the name of the sub-contractors and their workers'comp policy information: I am an employer.that-is providing workers'compensation insurance for my employees. Below h the policy and job site infor"Wtion Insurance Company.Name;.... AEI CC Policy#or SelPins.tic.# . WCC 5 0 0 5 5 9 3 412 0]-4A Expiration Date: 0/3/15 Job Site.Address ! �Q�c ��✓/� /��%' City/State/Zip:`: j-3 ®0160/ Attach a copy of the workers'compensation policy declaration page(showing the policy-number and expiration date).: Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1;500A0>and/or one-year,imprisonment,as well as civil penalties inthe form,of a STOP WORK ORDER and a fine; of up to$250.0.0 a day against the violator; Be advised that a copy of this statement may be forwarded to the Office of` Investigations of the DIA for insurance coverage verification. I tlo hereby certify under the poi, penalties of perjury that;'the information provided above is true and correct, Date i /1 1 i j Phone:#:. .(-5 0 8).7 7 8-0:.111 Offwial use.only.. Do not write in,this area,to be completed'by city or town officia ; City or Town: Permit/License Issuing Authority(circle one)i 1.Board of Health 2.BuMn-' Department 3 CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:: DlYYM ACo CERTIFICATE OF LIABILITY INSUR NEE DATE(dd� 10/29/2014 THIS CERTIFICATE IS`fSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RiGHtS UPON lHE CERTIFICATE°.HOLDER.THIS. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.-EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE--A CONTRACT BETWEEN THE 188I11NG 1N5URER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the poliey(ies)must be endorsed:. .SUBROGATION 1S WAIVED,subject to the:termsand conditions of the po' y tic 'certain>. policies may require.an eniorsemelht: A statenQrdt on:this Certificate.4oe,S not:COnfer rights to ttie certificate.holder in lieu of such endorsement(sj: PRODUCER CONTACT NAME: Lora F1tZGErala Southeastern insurance � IAIC N (508)997=6Q6! tAJc soah9sa-272!1 Eidl AdC ran-:S, 939` State Rd: 'M IL :lfitz@south AD easterniris.com_ DRE .. . P.O. Box 79398 . A INSU S AFFORDING COVERAGE:.. NdC'F North Dartmouth MP, 02147 IKSURERA:Arbell'a Protection. Insurance' 13f0 INSURED IN.suRER a-Boston Insurance..i3rokera e.nc.. Tupper`Construction Co LLC' INSURERc : .. 27 Roberta Drive INSURERD: 'West Yarmouth MAL 02-.671.. .. ,INSURER f.c,:. i... COVERAGES CER-nFICATE NUMBER:2015. REVISION NUMBER ._ THIS IS TO CERTIFY THAT THE POLICIES OF.INSURANC&LISTED BELOVP HAVE:BEEN ISSUED TO-THE INSURED NAMED ABOVE FOR:THE POLICY_PERIOD: WIT INDICATED: NOTHSTANDING,ANY REQUIREMENT,TERM;OR CONDITION OF.ANY CONTRACT.OR`OTHER DOCUMENT WtTH iRESPECT TO WHICH THIS CERTIFICATE'MAY BE-ISSUED"OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE'POLICIES,DESCRIBED HEREIN IS-SUBJECT TGALL THE TERMS;;- EXCLUSIONS AND CONDITIONS OF SUCH'POUCIESaIM1T5:SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR DUL SUBIR :POLICY EXP LTR TYPE OF INSURANCE,. " = POLICY NUMBER MWD +JM►Ts. GENERAL LIABILITY: EACH;;OCCURRENCE S, I't 000,000 rffA_M_A_G_E70RENTED X COMMERCIALGENER4LLtA31LITY.' 'PREMISM fE 190,1,000 A CLAIMS-MADE❑X OCCUR 5000OR7.43: 11J2014 MEDEXP Any onePersonj. S f%112015 b,000: PERSONAL&ADV INJURY 5 1 OOQs 000 :GENERALAGGREG.A"fE _5 2,;000rQOO GEM AGGREGATE.LIMITAPPLIES'PER: .PRODUCTS-COMPIOPAGG.:5. 2;,.000,000 X POLICY PRO LOC - S: .. AUTOMOBILE LIABILITY` --. ... ;. ....... :-. 6INE0 SINGLE:hfW91T - Eaacc�eni 5 1--<Q40 000: A - ,my AUTO : :BODILY INJURY-(Per pe-on) 'S AUTOS OWNED g SCHEDULED: 020009389 211'/201312.. /2944: 60DILY INJURY tPer socideinl 5 .. NON-OWNED "-- PROPERTY DAMAGE ... X HIRED AUTOS X AUTO ... Per acudent `' ..... ltninsuiedm.w'm'61satcrcrdt X. UMBRELLA LIAR: OCCUR EACH'OCCUR FIERCE:: ,S A EXCESS L1A6 CLAIASS MADE AGGREGATE. S _. DED': NS RET64TIO b00058366........... ..... .... _ T/1/2014,..,'df112015. S. B WORKERS COMPENSATION x .YnO STATU X DTI+ AND EMPLOYERS'LIABILITY rt ANY PROPRIETORIPARTNER/FXECUTNE YIN ..OFFICERIMEMBER EXCLUDED? N •NIA EL.EACH ACGiOENT S 19,000,000 ❑' .. DiSEASE-EA:EMPLOYS 1:000 OQO (Mandatory in NH) CC50055930120.I4A 0%3%201$ 0/3%2015 E.L, l.yes,deudbe under. DESCRIPTION OF OPOWnONS`below _ E.L OISEASE-POLICY u9m.:S 1 000 000 DESCRIDTION:OF;OPERA7iOw5/LOCATONISI VENih Fc(0.Us .ACORD 1e7,Aatlnlgnal Remarks.ct,etluie,-if more space.ii legvtred) - CERTI (BATE HOLDER R. CANCELLATION°'. SHOULD ANY cO THE ABOVE DESCRIBED POLICIES BE CANCELLED SEFORE THE EXPIRATION. DATE THEREOF, NOTICE WILL BE DELIYEIiED, ik INFORMATION .PtIRFOSES ONLY ACCORDANCE WITH.THE"PtDUCY PRQVISIONS_ TUPPER CONSTRUCTION CO -LLC HIGGIN3: CROWEIZ ROAD: AUTHnRu DREPRESENTAhNE WEST.*YARMQUTH,. MA 02673. Lora B *46eil l.d%LHI:' AGORD 23(209010S). 198$2010>ACQRD CORPORATION s;All rdghls rese_y. .. $N$D25 Mlninnij:(It: Tkn.-BC`ARPhrosinm anA:dnnn sra'+`Arricfiorvarh,nar&c of Art1Rr) f t "/� .� �x,<rr .awra���*.-a�.. arc..;x� zc c�.�t '�" .• "� 't >+ :F.'�'zK�t.°a..+„ ,,mcriis S"hJvs&iu. at�- s,3Yav - -tt���*�^-•��,Y'i.Ts't. 'F't r E-�€E�� ��"t�`�J.`FE,�..«C�' .S.Cic"�. �':Pe� r #��'�'"f� �cL�; E T� 2*;.+`nYC � r f�'u .Yj s `)f'i^.e£i A nz DR a. -a�tiFC. i .� a use r r ems — .�sta 7R ,_ E. ..._._ . . �...«.:.�....-�;-:.�.._.....,:,.mow. .t�:,...k�.,�.--...>r,..:,�-r�-�.�.•-ram �:�. _,�:�.,m.�-.�..,_:..,_�'.>-,.=_. ;.. -_ . .. -----• Tub .. a ,a .a wr_,.`,�y�.t: -�•',. :^Lu�?5.:.�c'aSe wi=Ar x'`a"-fa. ___._.,':.. .. r f 11/06/14 03:34PM Boston Wood Floor Inc 6172656336 P.02 ne r,no: ,,G,y �'U P P E R �d rq�r�, ;�� N, fi. CONSTRUCTION C.O. 79B Mid-Tech Drive West Yarmouth,MA 02673 Phone 508-778-0111 Fax 508-778-5010 Registration#121845 t.icense#069058 Dater . f Attn: Building Department I hereby authorize Tupper Construction Co., LLC to pull the permits necessary to complete the project described on the attached permit application form. Thank you, Owners' Signatures� Print Owners' Names: « L( Street Address: YOU WIGH TO OPEN A BUSINESS? For Your Information: Business certificates [cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do.by M.G.L.-it does not give you permission to.operate.) You must first obtain the necessary signatures on this form at 200 Main St., I�yaniiis. Take the completed form to the Town Clerk's Office, 1 st,Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: f_' APPLICANT'S YOUR NAME/S: . ,LC- Fill in please: .� BUSINESS YOUR HOME ADDRESS 4/2 : ' k TELEPHONE # Home Telephone Number 3 �, NAME OF CORPORATIOI\I: YI ,(-c Tir [NAME OF NEW BUSINESS � TYPE OF 13USIiMESS IS THIS A HOME OCCUPATION? YES ADDRESS OF BUSINESS o icS1��(cz cs a NIAP/PARCEL NUIViC3ER_ 9 • `-' � � Assessing) Whan starting a new business there are several things you must do in order to be in compliance with the rules and regulations of tho Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST .GO TO 2�❑ Main St. [corner ❑f Yarmouth Rd. Main Street) to make sure you have the appropriate permits and.licenses required to legally operate your business.in this town.. '1. BUILDING COMN(Ef�DN�R'S OFFIC- This Individual:has even infol me p rm requ'ram, nts that pertain to this type of business. - t uth prized Signature COMMENTS: 2. 'BOARD OF HEALTH This individual has-b n infor the `ermI re ulcements that pertain to this type of business. c j . Aut orized Signature IYWCOWYMTHALL COMMENTS: W117ARDOUSMATERIALSREODUA I$ S. CONSUIVIER AFFAIRS (LICENSING AUTHORITY) This individual hasZbVf he licensing requirements that pertain to this type of business. Are* COMMENTS: Body found outside Hyannis business CapeCodOnline.com Page 1 of 1 PCX 17 IT '�- X A Body found outside Hyannis business By CAPE COD TIMES February 06,2012 2:42 PM HYANNIS-Police are investigating a body that was found inside a truck in the parking lot at Powderhorn Outfitters on Barnstable Road. Police at the scene referred all questions to the Cape and Islands District Attorney's Office. A vehicle from the state medical examiner's office picked up the body later this afternoon. Powderhorn Outfitters,which sells hunting,fishing and archery equipment,was closed today,according to a sign . on the front door. No further information was available at this time. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. v http://www.capecodonline.com/apps/pbcs.dll/article?AID=%2F20120206%2FNEWS 11%2.'.. 2/6/2012 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map Parcel Application Health Division Date Issuedb• C Conservation Division Application Fee n Planning Dept. ,Permit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street .ddress Village Owner Address- Telephone �� 2 Permit Request e,,(' ® of Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new . Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes` ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other = Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:;; ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing 0°new size_ t Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: =' ry �; Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use Pi APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Na d Telephone Number �\ � meo Address 11AJ License # (D(0, ? a�,ro Home Improvement Contractor# Worker's Compensation # ALL C STRUCTION EBRIS RES LTI 4M PR ECT WILL BE TAKEN TO A - SIGN A R DATE Ir FOR OFFICIAL USE ONLY APPLICATION# j DATE ISSUED .MAP/PARCEL NO. . ADDRESS VILLAGE OWNER DATE OF INSPECTION: 4 FO.UNDATIOW { f FRAME INSULATION." %« . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL aASC I ° >r'L ROUGH -�,00- ''# FINAL r TFINAL BUILDING::. 7a4`41 w , r x DATE CLOSED OUT .- ASSOCIATION PLAN NO. Y The Common wealth-of Massachusetts 1 I Department of Industrial Accidents ^` Office of Investigations - i r"I: ,1;;� 600 Washington Street, Boston, AM 02111 "=� .wwwmass.g ov/dia r , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrcians/Plumbers Applicant Information Please Print Leguibly Name (Business/Organization/Individual): 4 Address: City/State/Zip: ., y�/lcy Phone #: � 7=4 Ar�e,Iyou an employer?Chec e appropriate box: % Type of project(required): 1.L�1�I am a employer with 4. ❑ I am a general.contractor-and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.,$ 7 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor.mein an capacity. workers' comp. insurance. 9.`y p ty. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑'EIectrical repairs or additions 3.❑ I am a homeowner doing'all Work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers'.comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' ' 13.❑Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers`compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ' �— Policy#or Self-ins. Lie. #: �i( )n Od�� 1�= Expiration Date: Job-Site Address: City/State/Zip . . . y Attach a cop a.workers c ensation policy declaration page(showing the policy,num ber and expiration date). Failure t ecure coverage as required der Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine u d/or one-year im sonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine up to$250.00 a day gainst the violato . Be advised that a copy of this statement.ma' be forwarded to the Office of Inve tigations of the A for insurance c verage verification: doh eby cert'y under the pains a d enalties of perjury that the information provided above is true and correct Si re: 'Date: Phone#: .. Official use only. Do not write ' this area,to be completed by city or town official City or Town: Perm Aicense# Issuing Authority(circle one); 1. Board of Health 21 Building Department 3.City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other _ ATE(MM/DD/YWY)ACORP. CERTIFICATE OF LIABILITY INSURANCE Do3/08/2011 PRODUCEK- (rj08)997-6061 FAX (508)990-2731 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION . Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO.RIGHTS UPON THE CERTIFICATE 439 State Rd. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 'P.O. Box 79398 N. Dartmouth; MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED Tupper Construction Co LLC INSURERA: Arbella Protection Insurance INSURER B: AEIC 27 Roberta Drive INSURERC: CNA Surety West Yarmouth, MA 02673 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE.ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YYYY DATE MMIDD/YYYY LIMITS GENERAL LIABILITY 8S00008743 11/01/2010 11/01/2011 EACH OCCURRENCE $ 11000,000. X COMMERCIAL GENERAL LIABILITY DAMAuF TO RENTED—, PREMISES Ea occurrence $ 100,00 CLAIMS MADE a OCCUR MED EXP(Any one person) $ S,00 i A PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE 1 $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY 56662400002 12/01/2010 12/01/2011 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) INC GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCC50OSS93012007 10/03/2010 10/03/2011 X AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTI VE Yr1 RICHARD TUPPER IS E.L.EACH ACCIDENT $ S00,OO B OFFICERIMEMBER EXCLUDED? I`—i_i7L(Mandatory In NH) LUDED FOR WC COVERAGE E.L.DISEASE-EA EMPLOYEd$ 500,OO If yyes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,00 �DTN' for theft of 71068813 02/28/2011 02/28/2012 Limit of $10,000 C ney &/or property. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. For Informational Purposes Only AUTHORIZED REPRESENTATIVE 11(rista Hartford ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Il 03/22/11 02:36PX Boston Vood Floor Supply, INC. 617-265-6336. - p.02 03/22/201.,1, 08:51 FAX ivvz/vvj ITUPSMEN 4oNsTR 79B MW'Tad1 D(m WGd YWMOUlh,MA 02673 F o[r8 Spg.778-pi 11 Fax 5W77&G010 Reg�yrtloe►#12i 8?6S Llcettss 58 Dgtei Mara 14,2011 !haft authar�ze Tupper Consttuctior Co., ,I,C to pull the perms necessary 14 comPlete&e,prajea desanbed an dte wed Y 'g apptYaat�on fart. z Thz& y , Ott Oar's Name: 202 le Road LLC,do Pfw�.e,Povidm Hors Outram: StreOt Address: 210 irr Rd.,Hyrmis,M�►07:bQY Nlassachusctis - Uepartincnt of Public Safet, ' Board of Building- Re-ulations and Standards Construction Supervisor License License: CS 69058 RICHARD S TUPPER 79 B MID-TECH DR }f.a WEST YARMOUTH; MA 02673 Expiration: 12/31/2012 ('unmissiuner Tr#: 8340 0ffice`6> obi�Sb'ffepww Be i1, License or registration valid for individul use only 1!!' D HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: .121845 Type: Office of Consumer Affairs and Business Regulation Expiration: 6/19/2012 Individual 10 Par ' e 5170 ,B"o"st ,NIA 02116 TUPPER t RICHARD TUPPER `" ' 29 Roberta Drive W. YARMOUTH, MA02613 ;--- -._.. ... _. ... Undersecretary Not valid.witho signature � I • dt I Town of Barnstable Regulatory Services ' "B''E'Nag ` Thomas F.Geiler,Director o;o Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Date ) -7 0 J Address /fi ,U N-S i'.g 6 C f" 0 To Whom It May Concern: Our attention has been alerted to the fact that you are flying illegal contrary to the Town of Barnstable's Zoning Ordinances.The Town has a sign code which is explicit regarding flags. Section 4-3.3,Prohibited Signs(1)"Any sign,all or any portion of which is set in motion by movement, including pennants,banners or flags,except official flags of nations or administrative or political subdivisions thereof." Please contact me at 508-862-4033 when these flags have been removed so that I can inspect the site.Thank you for your anticipated cooperation. Sincerely, David Mattos Building Inspector .n, QABUIl DING\WPFILES\DMATTOS\Illegal Flags.DOC a' ` Assessor's map and lot number �..� ............................. . Bpi?N E t0 z � Q t vSewage Permit number ..........:..............................:.............. T Z SAUSTADLE. i a HOUSe number ........................................................................ 9� M6 a 00 e W.t E-+ O 39• 9 r; c^ �,� .kTOWN OF BAR.NSTABLE ,c, 0BUILDI11G . INSPECTOR O e- APPLICATION FOk PERMIT TO ..... ........az�:r?IAjd.............................. TYPEOF CONSTRUCTION ..................................................................................................................................... r ...............................................19........ r, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby a_ppjj#s for a permit according to the followinVin rmotion: Location .......... ......... .. .. ./�/1�1�? fT 6.1 .... . TO/.�a .............................................. ProposedUse ................................................................................................................................................ Zoning District :. .............Fire District .............................................................................. /".. . /� � � �'� ..... kiress ............. .......Name of Owner ............. Name of Builder ....1t-4P.`.Add re, ss'.... ..17.//............................................. Nameof Architect ..................................................................Address ........ ........................................... ............................... Numberof Rooms ..................................................................Foundation ..............................................:............................... Exterior ...................::...........................Roofing .................................................................................... Floors ....................Interior . ............................................................................................... ....................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area ............ ............................ Diagram of Lot and Building with Dimensions Fee '� ..� ........... ...... ..... . ................:. SUBJECT TO APPROVAL OF BOARD .OF HEALTH i I hereby agree to'conform to all the -Rules and Regulations of the Town of Barnstable regarding the above- construction. Name �t.l..... .......................................:........... Town Paint & SUP* Co. 20411, demolish portion ti No ................. Permit for .................................... of building ............................................................................... Barnstable Road Location ................................................................ Hyannis ............................................................................... Town Paint & Supply Co. Owner .............................................. Type of Construction ..........frame ............................... ............................................. ........... ................... Plot ..................... . Lot ................................. - Permit Granted ..........July...........2....1................19 78 Date of Inspection ................. ....... .......19 Date Completed .. .................... 19 PERMIT REFUSED ................................................ ............... 19 ............................................ ............. ........ ........................................................ ..................... .............................. ............................................... ............................................................................... Approved .............................................. 19 ...................................................................... ................................................................................ � . Assessor's mop and lot number ' --^-------........--- . � Sewage Permit number ........................................................ . � Ho'woe�num6er ---._-----------.-------` NAM t639- MOR A, . - � r���-����7l�T �-��� �l� � �lhl�T�3r�� � ��l� �� ]� �]w �� |`� � ��� ������]�|nN �� ]� �� ��� ]����u � � � � 0 0 � N���m INSPECTOR - ���� 0 0_�� N���0 ~~ ~� ~ ~~�~ ~�~ �= / - . ' .� APPLICATION � FOR PERMIT TO --. /.. . --.. - -_.-.—.-^_—.- / || � TYPE OF CONSTRUCTION ------------.---.—_—__--__--......._—._--'_~—... ....,..,...---.....,....l9........ TO THE INSPECTOR OF BUILDINGS: The undersigned kevu6y applies for o permit according to the following information: ' � Location ----.......-----.........—.. ......-............1`.—.......~;-'.....7—_..._..'..x.—.^.......!--.,.--...----......_.. ProposedUse -----.--..—.—.--.----.----.---.—..--..--.--....—.....----...---.—.--. Zoning District ------..—.........------.---.�va District -------------.—.—.---______. . � � Nomaof Owner ..............................'..—..................Y..... ...i-A66res ..-- _ . . . . -----.—..—.......---~—. Name Builder .... ........ � — .~ /����sx '� .—.—.—.---...--_-- ' Nome of Architect ----.—.---------------Addres ----------.-------.—.'..------- Numhpr of Rooms ----------------------Foun6otion -----.----------.--.-------' Exlerior -----------..--------------.—..RooGng -----------------.---------_.. Floors ----------------------------..|nterior ....................................------__________ Heating ---------------------------.F1um6ing -------------...—..------____.. Fireplace '--------------'-----------'ApproximoteCoo —...----.—_,,,_,__,,_~_,,, Definitive Plan Approved bv Planning Board lR--------. Area -------------- � Diagram of Lot and Building with Dimensions Fee ......../[. ..~»........................ � SUBJECT TO APPROVAL OF BOARD OF HEALTH | - � I hereby agree to conform to all the Rules and | � � , , � ---__- --- ' - � , Regulations of the Town of Barnstable regarding the above Name .................................................................................... ' ' | ' | I Town Paint & Supply Co.. A=328-11 , 20411 - demolish portion No ................. Permit for .................................... of building ............................................................................... ��Barnstable Road Locatior ............................................................... Hyannis ............................................................................... Owner ....... .. Town Paint. . ... & Suppl. y..Co. .................... .... . ........ ........ .... .. . . Type of Construction ? ................................................................................ -Plot ............................ Lot ................................ July 21 78 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED -U /i'.1 �......./....� 19 ............................................................................... . ............................................................................... Approved ................................................ 19 1 TOWN OF BARNSTABLE SIGN PERMIT ' 4� PARCEL ID 328 011 GEOBASE ID 24391 ADDRESS 210 BARNSTABLE ROAD PHONE HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 51003 DESCRIPTION PO'WDERHORN OUTFITTER - $1 SQ FT PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: � BOND ,00 Ox THE tCONSTRUCTION COSTS $.DO 753 MISC. NOT CODED ELSEWHERE 8MtN3TABI.E..� MA83. BUILDING DIVISION DATE ISSUED . 05/09/2002 EXPIRATION DATE .-�� Town of Barnstable ,*'HE'°"'ti Regulatory Services ' Thomas�F.Geller,Director /^t 3 saruvs'reais, . `I J 9� KASS. Building Division ; Peter,F.DiMatteo, Building Commissioner .200 Main Street Hyannis,MA 02601 }; } t 4 Office 508-862-4038 r <i ,h E 4� , , W }Fax 508-79M230 h it f�d� / .i 1 k#�. r `� F ;1 y t a' r5'M/ '�+'yf'x i;i(` t N.;a I �-..r` ''��,r� i tp,;tri +lt. e� f •f`s'ysi� �'�`ty, v?4 C,' &r rr•I �'�` s• y ,_ t fhute� �°' ,°{��'��{' �a< �5f�}7�a°d j t r r,r.,,, .t_ i. f r r;+aW 1 tiVPi��i;,§• I .:; i '' A S i !/1 v rgd4 rndd,.2 i r< },K;•4 r�'" Tax Collector k �, .' � r 1.. 'i, i� w� •'.�, -r ir�C'K't$ lr -v ijtl S a 'd # ri(t � t. surer{ry r�' ( - .( .. , r s • •r Vj( fi Nr t ikrC" I` c r•�{ Trea a Ptx'+li} i�i _ , _ ._ li�.ts.0 �f Application'for Sign Permit ' eta%t//a/ r _ � � } 4�.��.[�w f7 y • Applicant: Assessors No. � 3 1 Doing Business As: �ek71,G/� l�l ele hone 7 7 u .4 p No. y �-: iS ``r;"'rrri x t«�`r� . '' ' g S at��i (.•A,r. . . y �Yskt r _ st Sign Location's i,- �;r r°' f dl. yStreet/Road: Zoning District./ Old Kings Highway? yes/��iyannis Historic Districts '`Yes Property Owner Name: Telephone: F Address: Village: 1 Sign Contractor' Name: Telephone: 7'' 7/ Address: -Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Y�To (Note:If yes,a wiring permit.is required) I hereby certify that I am the owner or that I have the authority of the owner to-make this application,thaf the ' information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance Signature of Owner/Authorized Agent Date: Ma� r 3 Size . 227ermit Fee: Q Sign Permit was approv Disapproved: Signature of Building fficial _ ~;�/ Date• �, kxs zM£ j�f S':�Vc;tF�r�y :tr Iy • .. rhS�}L��} y �r r �. 1.' « at t C ,$ .�t .fir ! e t I -' µ r•i-' t .1y f5yt�'h�, s Y. y ?�,;Signldoc t' rev 122801, Sy'! ,• '.1 * Y f t t, ` ki �..`4 g '';k:f iD X rL-`fTJ W;r�! r 6 { P ld.�hr '''ir :,• .> 7, .a I�5 Ix.tti };- � ;:.F kl'U 1, r, 'i! �r 4 0 ,t i DLRO f ilk. t �'@MM i CHANG EAB LE. , LETTERSn HERE---- - � �( S ,31 SQ FT 1 3 6M JOR®A►N SIGN CO. 103 ENTERPRISEeROAD HYANNIS,MA 02601-2212 4- Z� �zo6z v '73 N r 2 . t, � • F 41 � 9A o ."�1991 �i �. .. �t � �� I , 1�1 v 4 V �9111�...1 R Complaint Number: 1795.•, Taken bv: UILDING� RVICES Date: Man/Marcel: Referred to: U�_LR1N_TG _r SUBJECT OF COMPLAINT Business/Occupant Name f" T POWDERHORN ` A ry Number 04 WStreet BARNSTABLE RD. Village: COMPLAINT INFORMATION Complainer s,Name: CITIZEN - Address: - Telephone Number: = ' Complaint Description LARGE SIGN OUT FRONT"BAIT" Actions Taken/Results: . G.U. WILL CHECK. Ph— Date Closed: `. (323. ci2 pro ✓y �*s� /Z�l = �" /�� do✓1. � �cJ p . Assessor's map and lot (number �aQ °T �< C� G�K— 1L 39 f Tp� Sewage Permit number .......: '..I 3.G�............................. SEPTIC SYSTEM MU &ARNSTLELE, INSTALLED HN COS � \9t',House number .........................................................:.. . Mna i � a� I a'4`� TITLE o�'�Ep�AY.�\00 TOWN OF BAR.NST;X,,, , .wv�,v BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... L'................................... TYPE OF CONSTRUCTION ........ A.nl,ad 7-6......... ................................................................. ............ ...................19.. . TO THE INSPECTOR- OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............. —/...........P-/9. .T......... .. ................................................................................ i Proposed Use ....... l .......tY1:� f .......... .......� �— 1.. !.{1........................................................ Zoning District ......................................................Fire District ...... r ' •, •/ .......................................... Name of Owner .......r—..r..........................Address S.T.....n .?...T..!. K.........'Vl ✓ f. ...... 4 Name of Builder f}.!g.!yS.. !�!..�i.4-.. ........5�8 ..Address �' U! oil! .................. Name of Architect .v„w.9..!t}).......'� ?!.f' .,, ............Address ...k!. 5.7.G'.e.��J.>............ *X 5.................... Numberof Rooms ............. ..................................................Foundation ....... 1d.1. -............... .................................. Exierior ............... .N............. .............................Roofin .<....... ......... ....... wrr'•"'� Floors .0 o� s ...Gr�.iY...�:!e.�..l:....... .�......9..... .......................Interior .......:................................................................ Heating ,l .T........ .1:/j...................................4.............Plumbing ..........Al.ft............................................................... Fireplace ............ .................................................Approximate. Cost ............... .................................. Definitive Plan Approved by Planning Board -----------------------_--------19________ Area ............... Diagram of Lot and Building with Dimensions Fee` Q.� .......... ... ........................ SUBJECT TO APPROVAL OF BOARD. OF HEALTH OCCUPANCY`PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .. .................................. Construction Supervisor's License ...4�0Al .... ..........`o� ....... ... TOWN PAINT COMPANY w. No ..... Permit for ADDITION................. CMnercial Building............................ Location Barnstable Rod........... . ............................ .............. . ....................UYAKU-hio...................... Owner AgYM.Ralat-Company. ........................ Typo .of Construction ..Frame............................ .................................. ............................................ Plot ....................... Lot ................................ Permit Granted A)ecexdoer..13, .....19 84 Date of Inspection .....................................19 x Pate Completed ......................................19 f --".� '.•� .fir to f � 1-4 1.4 to OF �•. � t .,'f Yiq � f .•�•�CSC •��' .. ii 5 _ 14i i 4• �'y�^'� , a 2 �S *THE. TOWN OF BARNSTABLE BARNSTA63 BLE, NAOIL 9- 1 0 jug BUILDING INSPECTOR APPLICATION FOR PERMIT TOr�P!� WVA�' ors Qhd�`ter�g� rood TYPE OF CONSTRUCTION .... ........ ...... . . ........................ ........4,a.etc4.... ..........19.2a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........C.;d Ir 4;;?��/ /....../�y/.. .......3a. ......F..a. 0-4 Proposed Use .......Q.1.49/7.q..... a.ag....... rgg..s....... az,( ZoningDistrict ......v. h.,Zxx...................................Fire District .............................................................................. Name of Owner A Nameof Builder ......—ra.//-V...............................................Address ................................................................................. ....... ........ Nameof Architect ...... ......Address .................................................................................... 7.......... I Number of Rooms ........ ................................................Founclotiozlloeli!V�4 Exterior So.4.001" ....... .... Roofing 474d6r4a 7-...,l kol .................... .g on%!7e90 Floors ..................................................Interior 'o/. Heating ...Plumbing ............. ........................................................ -0/ /...� Fireplace ................ ......................................................Approximatt- Cost ........7 Difinitive Plan Approved by Planning Board --------------------------------19-------- - Diagram of Lot and Building with Dimensions Fee 7 THE PROPOSED METHOD OF P!:)0V'D!'NG FOR SANITARY WATER S1 PLY, SEW!kGE 'DISPOSAL AND DRAINAGE IS HEREBYAPPki V:-D OWN OF' BARNSTABLE, BOARD OF HEALTH A LICENSED INSTALLER PERMIT, AND INSTALL SYST LIST OE3TA'N SEWAGt I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab-11e- regarding the above construction. Name .... . . . ......... ....... . ........ . ..........."/ .,/....... 7 Hyannis Paint. & Wallpaper, Inc. - i � SEC 31 1��Q r 9 add to commercial No ...1:2....©... Permit for .................................... x, building .....:........................................................................... Location 2.08..Barnsta. . . ... ble Road............ .. .... .. . .......... ...... ........ ..........HY.annis........................................ , Owner ....... H is Paint &..Wall. P a er Inc. Y....an..n........ ............. .. .... .... ..P...:.�... Type of Construction .............frame.................. ............................................................................... Plot ............................ Lot ................................ 1 Permit Granted .......Yllareh. 20...............19 70 Date of Inspection ....................................19 Date Completed 9 "...........19 7-0 i PERMIT REFUSED . ................................................................ 19 , ............................................................................... ................................................... ........................ i ............................................................................... j ............................................................................... i Approved ................................................. 19 I ............................................................................... i t ; ,+R roId fa 04. Tl it i i r. a - r i C t r r t • t j h Q Q i ' -swM¢++-_ rlrtm_� K j...:�-.e..d5 ""....w .a.Wit- •mac�, jay. QL 1 60. S OD 3 i O 'er t' '"� y r e ..�,,._.�,—. .T�T -s- ; .-..e=.a�.�...:..,�.�=��,r;-r—_ __ _ -•'sa'�:_:> .-._�-. _ -_ _ tea.-1'[-•-.�f..c..:�." _ .-•.z�-�-rt�--�- Af 02 ow �' i �c ♦ _ /�ywoo_c/..Xh.0 t"4 �/ .r; // r•' r f F f//yrt``F f. /�Ile, 9 j%;. it ,•..�- y G1/•-n � ! r r � f ~���� - — ,e ` -r s s«��.,rt,-_t9'_,3�+ti�'-h+�-.�sa-- , IZ Doo /f "�r �X�.I''t�hC� /7O// �'•�F'��f,,'rF_l.i ,? N Q - /, r� /F. 1�lr��/,r f"J/�;f / ,•� /�''J/' ,.Fr1 j''.! � V!`Gf/�f Cam/ �iX�d��.o�, r , r e'Yr OUTFITTER 1 s 00 z � �� -o` �O�' � � ' �°.. ti�''� .o`, . . p e�`�`� .. �' � � , � '��, � � -o� . `- ,T� -'" < ,, , `�� � ��� ���� ��� � ���-> rr - . � �`� � -o(,� ��' �o A © ��� Sign TOWN OF BARNSTABLE Permit * BARNSTABLE. MASS. 9�Ar�o .�A� Permit Number.- Application Ref: 200801985 20070162 Issue Date: 04/17/08 Applicant: 202 BARNSTABLE ROAD LLC Proposed Use: RETAIL &. SERVICE STORE SMALL Permit Type: SIGN PERMIT , Permit Fee $ 75.00 Location 210 BARNSTABLE ROAD Map Parcel 328011 Town HYANNIS _ Zoning District HG Contractor: PROPERTY OWNER Remarks REFACE EXISTING 36 SQ PANEL SIGN - FREE STANDING' Owner: 202 BARNSTABLE ROAD LLC Address: 80 NEPONSET AVE DORCHESTER, MA 02122 Issued By: PC g Qi .77777777 POST THIS CARD SO THAT IS VISIBLE FROM TIDE STREET Town of Barnstable Regulatory Services Thomas F.Geiler,Director BARNSPABM Building Division Tom Perry,Building Commissioner AEDMAA 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Application for Sign Permit Applicant: M` C,1i/�'�,(� C,+ Map& Parcel# a g 00 l Doing Business As: CW-(Lf kj--,,r or-C�,-L c..�oi�tWo-s,i� Telephone No. : Sign Location Street/Road: y y} ko yJ 7s Zoning District: Old Kings Highway? Yes& Hyannis Historic District? Yes Property Owner Name: �� ��% , Telephone: 6'b k O-7 o.0 Address: Ay 3X ( Village: (J. l j.J r.CA4, Y 6 1 Sign Contractor n Name: 5/GN -/� " 9�-4 M 4 Telephone: 51V-a-y0- S 3 7 3 Mailing Address:11. - (A)14 1 t�S P—,+17� �- 1>PA&V-0 ►q JaC.L Y Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? I',Le No (Note:If yes, a wiring permit is required) S Width of building face 9 Y ft.x 10= x.10= Sq.Ft.of proposed sign S I— I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the / ' �Q information is correct and that the use and construction shall conform to the provisions of§240-59 through§240-89(/ of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized A$e JC�� Date: 41,11 Permit Fee: Sign Permit was approved: Disapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:I WPFILESISIGNSISIGNAPP.DOC Rev.9112106 }ta f� 1 f,tm, A k RE 1 fr 3 of a, i t I 1 f( r { 2— I fill �,a�sa' M";' saz xsewa. Ibis-, may.: air loom" � I i .:mow t i ' ilk �' � '��►� w�,, .� DO p ! IL r i _ f i { i i i i I {P+ s tr.11 L 144 51 in •I r -•Vin 1 t Laminate 0 • o o Remnants ° Ceramic.File F 'Ceramic-Tile 1. u_ o Area Raa s O(DII °'Wood Flooring., OffSince 1961 - � ; �_ _ .• _ q� r te �Y Q�c�S'�\v�u� cXv { oFTME t�,,_ The Town of Barnstable snnxsrns�, M Department of Health Safety and Environmental Services 039. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner, September 29, 1998 Mark Cohen Powderhorn 210 Barnstable Road Hyannis, MA 02601 Re: SPR-062-98 Powderhorn, 210 Barnstable Road, HY (308/W-2) Proposal: Expand retail space with 75X16 addition to rear. *REVISED PLAN*. Dear Mr. Cohen, The above referenced proposal was reviewed at the Site Plan Review Meeting of September 24, 1998 and approved under Section 4-7.4 (2) of the Barnstable Zoning Ordinance with the following conditions: • Applicant must connect to town sewer within 6 months of availability. • Curbcut on northerly end of site must be reconfigured as per approval by Engineering. • It is recommended that the Applicant reduce the number of dumpsters on site. Please note a Building Permit is necessary prior to any construction. Upon completion of all work, a letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinance must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Respectfully, Ralph Crossen Building Commissioner J /24N Engineering Dept. (3rd floor) Map `01 Parcel (e l _, Permit#- j House# , Q. I 'JS t ' Date Issued 4 F 22 Board of Health(3rd floor)(8:15='9:30/1:00- Fe %zz d &-d e Ec Conservation Office(4th floor)(8:30-9.30/1:00-2:00) ( 4J RI�N pER BTq� i '+CS RUE NG D SIT A,E R L P ciq 1 vjs� BARNSTABLE. t MASS. TOWN OYBARNSTABLE.- al* ' Building Permit Application Project Street Address �/� ,���y� /q�� �p1jc�1/ CM Village #q0r,l!7/$ - Owner IM1110 ,521�/, . Address / 0 INI 1016 Telephone OQ �02 r 999. / t k 7,5:1 OM 110 olEL-%, Per 't Request First Floor 02 S square feet Second Floor square feet Construction Type �'L�?ch / r0V.444 lefn 4UM Estimated Project Cost $ 6 QD D Zoning District Flood Plain Water Protection Lot Size J �� _7 3 Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes <o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 0 New Half: Existing New l No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New �_First Floor Room Count Heat Type and Fuel: f ras ❑Oil ❑Electric ❑Other Central Air ❑Yes R' o Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name tiv► c $ nyyt �•j2tf�" 1� Telephone Number Address 5 5'r"���d�, License# �� } Home Improvement Contractor# Z O Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PE I DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED 6 W> MAP/PARCEL Nd. , ADDRESS t VILLAGE' OWNER .td 4 DATE OF INSPECTION: FOUNDATION' FRAMEfYl INSULATION FIREPLACE r 't ELECTRICAL:, ROUGH FINAL P. PLUMBIV '� ROUGH FINAL. t R GAS: ROUGH i. FINAL.` FINAL.BUILDING r DATE CLOSED OUT •ASSOCIATION PLAN NO. �' '" �•Irc• Cunrrrruntrctth/t nf:3tassuclruscttx •�,_'i..,. Department of L:drwrial.-Iccidenn • 'I �• ti.�. li 'Iry 6O0 11 ashbigiva Surer S -fan.llttrax O3I11 �• Workers' Comperintion Insurance ARdavit _ Aptiiic•tnt inferm�tirim ��_t�Tc f'R►NT1�•��il'v �r�� flme! /OZI a,lllelle� 0 0-6 CL cn `7-7s -- I am a hotheowner performing ail%vork myself• 1 am a soft proprietor and have no one ivaii:ing in any capacity [I 1 a an empfover providing workers' compensation for m�employees working on this job. m emm�am•unmet •••Itlrccr • city. nhnne Ih ,. Wolin•tY inarnncc rn. - .._. 140;= a soft proprietor.general contractor.or homeowner(circie one)and have hired the contractors listed below w•ho na•. the following workers' compensation polices: COM17111V one• S ,tlrin•�. mm �Ja�l�� LI 4 cirr. Ib/Sr T h C 7'1D � nhnne 0* sr Wolin•@ lJ �� in rnnrr rn. � L1 RA 1 Dr �;�14�• .;,,e- _� ..�._ ._ . -..� �T.'��.�—"'�'T.. �� ���l fib•�♦�•f�6:' - _ _ _ _ �m� Mmn:fna• n,rnt•• - ,dtlrr•a�- rota nhnne Nt ' sortnre re - ntrtit•�•+a +,^o Attack additional sheet if neeeeary- ~ •r. •~ __+••�y�_�y �__~ railure i�;;tore cuyerare as required under-Section 3A of l%IGI.ls3 can lead to the imposition of enimaal penalties of a tine up toS1.500.U0 aadrur une+•ears'impnsonment as well as civil penalties in the form of a STOP WORK ORDER and a fine orS100.00 a day apinst ilia 1 undn=nd that a corn*of thin statement ma} he fu riled to the 0Mcc of lovestit ations of the DIA for covers0r veriticatioa 1110 Gereby cert }•tr cr rJlr., a rrs a petralt/es of p urr that the irtforntarion prorided above u 77d Sicaaturr Print natal Phone f! oMeiat use only do not write in this area to be completed by city or two aMcial city or town: pertnitlltccuse 0 Mudding Dgmr maot • (31-Whim ilwrd L cheek irimmediate response is required,, Mcfectmen's Omer atloalth Deportment contact person• phones• nUtber f. information and Instructions Massachusetts General Laws chapter 152 section 5 requires all employers to provide workers' ean1Iiens6itlon for employees. As quoted �otm the •'12W_.ati cmpluree is defined as every person in the service cat anii'ther under.:ny f contract of Hire, express or implied. oral or written. An c•mpl(►r r is defined as an individual, partnctship:association, corporation or other icgal entity. or any two or ,-,,-, the foregoing engaged in a joint civerprise.and including the legal representatives ofa deceased employer. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Hoxyever owner of a dwelling- House having not more than three apartments and who resides therein. or the occupant of the dwcllin%house of another who employs persons to do maintenance, construction or repair wort: on such dwelling or on the_-rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio, MGL chapter !5'_ section =5 also states that even-state or local licensing agency shall withhold the issuance of renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant tim•lio has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public wort: until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applica:is Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situ-:iota an- supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coyera`e. Also be sure to sign and date the aftdavit. Tile zf" :vat should be returned to the city or town that the application for the permit or license is being requested. nuc a Department of Industrial Accidents. Should you have any questions regarding the "law"or if;you are recuire to OL:ain a workers* compensation policy. please call the Department at the number listed below. City or Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottorn the affidavit for you to 1-111 out in the event the Office of Investigations has to contact you regarding :lie cpplicant. P'. be sure to fit in the perm it/license number which will be used as a reference number. Tlie afldavits may be returnee �- :_: the Departmentlby mail.•or,FAX unless other arran_ements have been made. The Office of Ina estr_atioils wouldy like to thank you in advance for you cooperation and should you have any questic ,;terse do, hesitate to -ive us a cell. ,, 'The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents _.. Office of Investigations 600 Washington Street Boston,Ma. 02111 fax 'j: (G 17) 727-7749 0Py COL 32 Third Avenue oy i OSTERVILLE, MA 02655 OB ESTIMATE 9F1 F FOPS 508-428-5144 PHONE 75 OAT 3//3� Q 1�1 fC M A�►L �t-1 e iJ 7 �.� ��1 O TO JOB NAyy��E/LOC TION - ZIJ agR,.IsTA3t_� RDA �"� �owee2,4oarJ T4�; A►J nl.s F VVl 6 O L b 0 1 s ,Q D D I v n1 MASS. HOMEIMPROVEMENT CONTRACTOR LIC.# 105925 I -7 Z, JOB DESCRIPTION: ------ --. — /�Dr.1, - ----- — , �_ u v L Bol y 30d0� Nr4 ` ��IJI lean C-1 SnN-k jp, 5evt M t=5 --- L 1\0 3'fl i N T-S =---- - --- 3" 'rA1e,G FLOE, -- - ------- --- LA r3 ,2 t A J A T�ddQ i�4 Pt,CT �1 l..E� 1�.! ��t�QLE _.dL E`�------------...----------------=-------------------------- . ESTIMATED l_� ON SITE JOB CHANGES MAY AFFECT FINAL PRICING. — — — WORKMAN'S COMPENSATION AND LIABILITY CERTIFICATES AVAILABLE AT START OF JOB. JOB COST _.__..— ESTIMATED BY �~V THIS ESTIMATE IS FOR COMPLETING THE JOB AS DESCRIBED ABOVE. IT IS BASED ON OUR Th . f ou EVALUATION AND DOES NOT INCLUDE MATERIAL PRICE INCREASES OR ADDITIONAL LABOR AND MATERIALS WHICH MAY BE REQUIRED SHOULD UNFORESEEN PROBLEMS ORADVERSE. WEATHER CONDITIONS ARISE AFTER THE WORK HAS STARTED. z. ' Al DEPARTMENT Of PUBLIC SAFETY ^' rCONSTf}�TIO�V SUPERVISOR LICENSE; 00 41, s �� N aMBARpI 4 � , NYANNIS, MA 026 f • { r i a - I i ' w , I r i Illll - I 1 I ! I I jlF , L. I- if 41- , , ! ! I � � � I t I I I a I � l I i I I I I I I • 1_ f 1 ` t t r _ I I I i I j. ` { 41 f� I i ., i I i. f Lam: I I t. I I I I f II , � I j II _,_ I_ ._ � r I_ --�I. � I I F� � � I�.i �i -� � � •,�, I � _� — �'__�— I d it _ I , ` L I i I t � . I I _ , r I 1 • a T , ! t } I I { j I ! r I I--_ -. ._i _-._�...e .--. _ _i.., . _ ..,.�_. I I ! ,li--!-i - -� - I• - I - -I -- I �- I - --j .-.... I - - , � I I r I 1 1 F + i F II i I THE TOWN OF BARNSTABLE STAII E. MASS 1639.Ar BUILDING INSPECTOR TO- THE INSPECTOR OF BUILDINGS:1 The undersigned hereby applies for a permit according to the following information: Nome of Builder -., . '....-..'A66reu ... ... ............................... Nome of Architect ---~ e............................................Address -----.---------.----'..------- Number of Rooms .......... .--------------..Foun6otion ......... ~�"---..^V/v. --� �� Exlerio, ---�����x�.u---..--.-----------'RooGng ............ ................................................... � Floors ............��e7.------------------..|nterior .......... Heating --=/ =��' 3....... 7 ...... ..............................Plumbing ............. x..................................................... _ Fireplace ............. .......................................................Approximate Cos ....... .................................................. � '� 8� Definitive Plan by Planning Board l9--------^ /' �� Diagram of Lot and Building with Dimensions � ~^ � SUBJECT TO APPROVAL OF BOARD OF HEALTH ] C� a. ' Uj LLj I hereby agree to-conform to all the Rules and Regulations of the Town of Barnstable regarding the above � ' —`- ----'----'-- ... ------ ----~ � . - - - -- - - -- -- llilaon, Ralph ITT Nd?/15317 Permit for ......add to commercial ................. .............................. i . ...........b....0 ldina ............................................................... Location ........ Road ...................... ................... .Hyanni. ........................................ Owner ............ ............................. Type.of Construction ..................mas.Qxwy.... ................................................................................ xf Plot ............................. Lot ................................ August 2 72 7' Permit Granted ........................................19 Date of Inspection ............. ........ ............19 Date Completed ......... ........ ..................19 PERMIT REFUSED ................................................................. 19 ............................................................................... ................................................................................ ................................................................................ . ............................................................................... Approved ................................................ 19 ............................................................................... ................ .............................................................. V K PI) 'o'o o V - v - cv) a .1 0 a " I u V �j 4 � 'I t Lr � of (J j j to Pei W O � � a O W I i - 'J 3 _ a Y C fl A � 00 Z OD 61 4 x Y � e _ x D r o Li a �' 06 ! - X- • D0 0. ffl M '. W Al p r fP D o .o !1 - r rip o J B'� t rh jq = � A cn - a a � (n • 'r �n (A (u' (A y i a, v D Ka 1 . 4 0 °� CP O •n Z° o• w N y m � S v i e 9�2T Z6o/ s9 49 9� /• P� 'oq B•c C�'4'"E' ' • Y `t 73 r • ,,v.J o R MN oo' �6 Z a.` /o%i• 14, O ri y��• o� o 140 14 P a a PG AN O F PR O PER T Y HY,4 1A115 ,1-BA)2NSTABGE) / % )qS S. To .OE CO/V VEYEo To h�YW)V A11S PRIMP, SA L 1 PI PE",R SCALE / " Z /-I A .2Ch' Z / 96S /pAV /D /-/• G ENE VEY0'e f-! YA /yn/ / 5 , r 'p p i i 7 Engineering Dept.(3rd floor) Map Parcel Permit# �./ House# �c;�— Date Issued _7, 31 9(a t - Fee Y N �.tME►p;_ 19 , BARNSTABLE. MASS %65q. T i c TOWN OF BARNSTABLE Building Permit Application Project Street Address S ab 1 f, RA - Village Owner Rfat�v Ir. Address SdAL Telephone Oog) r(15--SR E5 Permit Request S (�jF First Floor ll ,, square feet Second Floor square feet Construction Type UJ(god .ihW&=, Estimated Project Cost $ a),00.00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) ,*Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial taYes ❑No If yes, site plan review# Current Use (Art)(\,-6 bw Proposed Use S!MY Builder Information ` . _ �1 Name 1.��n h �('��U,(<.Ain_ -�1 C ' Telephone Number &&547-a%3 Address _ f'0 y i License# F.EaC "(,t.°}�}T MA N- 3 Home Improvement Contractor# Worker's Compensation# &10-9LVNM^_-l)bt)or)4( S NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) The Commonwealth of!1lassach usett v Deparmicirt of Industrial Accidents ` office ofinyesUffo offs 600 Washington Street �' �� -= Boston,A1uss. 0_111 Workers' Compensation Insurance Affidavit -t�'1e n 1 - ea�.L r• city ffii &t I mA- Chong# 0 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ._ sa.:..dw.T�.+.n"-r.r.-•=,•� R'ET'T'An.wr-..,.,4T.3,w.-.-l�.sm--,. �* - - --�*,-•'----�r—^,_•`.��!nw�-,-^---^�R-„^-•__s•a.�. I am an emplo+ver providing workers' compensation for my employees working on this job. conwan• oome: I.0 I(\S*UCki0Y1,-LY"C . address: �- oZ cih•• � - ��i 1 rno VT V1 / � "'"� phone#: &S u ` insur•tnce co �MD` Crn- r�t�5 Co • Policy# I"` �N�� o o Df�� Q`-> II am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comi2an• name- address: city: Chone#- insurance co Colley# _ '........_ :. e _ �.'. ...... ._... ue:.R�«:.�,.....��.__�.�:...:'_T'R"^.<c• _� -rt*'r'+^����.�;�-'STrr,t.�w.w �.T::.^`+.�a.-cv�:a:r--:r!•_�,.r:a��',re'"'� enmpnm•n•tme• address- City- phone#: insurance co poHey# :Attach additional sheet if necessary,;:� w�-Q.-,<<�,'-^t�i`:�r..��:,� _:•_r±; `:,>;,.,, a .� •:'�"',�^:•s'� ,,,�.-_,=,e,,.,,.;�r:;.,: Failure to secure coverage as required under Section 25A of 11tGL 152 can lead to the imposition of criminal penalties of'a fine up to S1.500.00 andior one years'imprisonment as wcll as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement mac be forwarded to the OMce of Investigations of the D1A for coverage verification. I do hereht cC 1.1 t lie pains and penaltie rjurr that the information prodded above is true and correct. Signature Date /r�30 Print name LAUr J e T- Fun Phone ofcial use only do not write in this area to be completed by city or town official r city or town: permit/liccnse# rlBuilding Department C3Liccnsing Board check if immediate response is required C3Sciectmen•s Office [311calth Department contact person: phone#• nOther A. • -.ws-.;�.�s^-..w-.'arc ._ ...,_... ._'.__ .____._�W__ __�-- `..- _1—"__ _- _- _ -_ - ____- _- Im'ised 1'95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law". an empl(rree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An etnpl(wer is defined as an individual, partnership, association, corporation or other legal entity. or any two or more', the foregoing engaged in a.joint enterprise, and including the lei-al representatives of a deceased emplover, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling hous or on the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL cha.pier 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth florally of its political subdivisions shall enter into any contract for the e table evidence of compliance with the insurance re performance of public work until ace uirements of this chapter ha-, p p q been presented to the contracting authority. 7.777 ..._.-.•--..._._.__r.�.�.-..-, �..-�-..�..;.e.....-ter.,...-.�..-...._. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or'roivns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at tite bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375